Form B-3 - Sale Of Beer To U.s. Government Military Facilities And Exported For Consumption Outside Of Indiana

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Indiana Department of Revenue
Sale of Beer to U.S. Government Military
B-3
(Formerly Schedule F-2)
Facilities and Exported for Consumption
State Form #46970
Revised 1/95
Outside of Indiana
Reporting Month ________________ Year________________
Name (Wholesaler As appears on Permit)
Federal I.D. Number
Address
City
State
Zip
State Wine Permit Number
State Liquor Permit Number
This Schedule must be attached to Revenue Form 810.
Mail To:
Indiana Department of Revenue
P.O. Box 901
Indianapolis, IN 46206

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